Hoffmann-Menzel H, Goldmann J, Kern M, Weckbecker K, Wüllenweber L, Radbruch L
Zentrum für Palliativmedizin, Malteser Krankenhaus Seliger Gerhard Bonn/Rhein-Sieg, Von-Hompesch-Str. 1, 53123, Bonn, Deutschland.
Klinik für Palliativmedizin, Universitätsklinik Bonn, Bonn, Deutschland.
Schmerz. 2019 Jun;33(3):263-280. doi: 10.1007/s00482-019-0376-0.
Patients with opioid use disorder survive longer and reach higher ages due to harm reduction and maintenance programs. Therefor and because of concomitant comorbidities there is an increased incidence of life-limiting diseases. Thus, increasing numbers of patients with opioid use disorder or in maintenance programs will require palliative care. However, both inpatient and outpatient service providers are uncertain about providing palliative care for these patients. Home-care teams and inpatient hospices have been known to refuse admission for patients with opioid use disorder. Providing medical care to patients receiving substitution therapy can be challenging because maintenance programs require strict compliance with their rules and regulations; however, an individualized approach with knowledge of basic legal requirements enables good palliative care. In this manner, it is possible to ensure healthcare for these aging patients.
由于减少伤害和维持治疗项目，患有阿片类药物使用障碍的患者存活时间更长，寿命也更长。因此，由于并存的合并症，危及生命疾病的发病率有所增加。因此，越来越多患有阿片类药物使用障碍或参加维持治疗项目的患者将需要姑息治疗。然而，住院和门诊服务提供者在为这些患者提供姑息治疗方面都不确定。众所周知，家庭护理团队和住院临终关怀机构会拒绝收治患有阿片类药物使用障碍的患者。为接受替代疗法的患者提供医疗护理可能具有挑战性，因为维持治疗项目要求严格遵守其规章制度；然而，了解基本法律要求的个性化方法能够提供良好的姑息治疗。通过这种方式，可以确保为这些老年患者提供医疗保健。
